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盐浓度和生长阶段对耐甲氧西林金黄色葡萄球菌抗太阳紫外线和杀菌紫外线能力的影响。

The effects of salt concentration and growth phase on MRSA solar and germicidal ultraviolet radiation resistance.

作者信息

Sheldon Jennifer L, Kokjohn Tyler A, Martin Eugene L

机构信息

School of Biological Sciences, University of Nebraska, Lincoln, Neb. 68588, USA.

出版信息

Ostomy Wound Manage. 2005 Jan;51(1):36-8, 42-4, 46 passim.

Abstract

The extensive use of antimicrobial drugs has led to the widespread emergence of resistant bacterial strains. One such organism, methicillin-resistant Staphylococcus aureus, is now found extensively in both healthcare facilities and diverse community settings such as households, correctional facilities, and athletic teams. The importance of ultraviolet radiation as an adjunctive therapy to reduce bioburden and improve wound status in patients has been documented. An in vitro study to assess the effects of different types of ultraviolet radiation on antibiotic-resistant strains was conducted to provide information that will aid in the development of rational UV irradiation medical protocols. Methicillin-resistant Staphylococcus aureus was found to be sensitive to both germicidal (ultraviolet C) and solar (ultraviolet A and B) ultraviolet radiation (ultraviolet C substantially more lethal). For both types of ultraviolet radiation, as the medium concentration of sodium chloride increased, the methicillin-resistant Staphylococcus aureus cells exhibited increased sensitivity. It also was shown for both types of ultraviolet radiation that kill curves were comparable for log and stationary phase methicillin-resistant Staphylococcus aureus cells. Photoreactivation was observed for Pseudomonas aeruginosa PAO-1 but not for methicillin-resistant Staphylococcus aureus when ultraviolet C was applied to log phase cells. The Gram-negative Pseudomonas aeruginosa PAO-1 was considerably more sensitive than the Gram-positive methicillin-resistant Staphylococcus aureus to ultraviolet C radiation. The experiments reveal that medium composition exerts a substantial effect on methicillin-resistant Staphylococcus aureus ultraviolet resistance and that this species lacks photoreactivation capacity. This suggests that in a clinical setting, eradication of the bacterium may be achieved at far lower doses of ultraviolet radiation than would be indicated by treatment protocols that do not account for ionic conditions.

摘要

抗菌药物的广泛使用导致了耐药菌株的广泛出现。一种这样的微生物,耐甲氧西林金黄色葡萄球菌,现在在医疗机构和各种社区环境中广泛存在,如家庭、惩教设施和运动队。紫外线辐射作为一种辅助治疗手段来减少生物负荷并改善患者伤口状况的重要性已有文献记载。进行了一项体外研究,以评估不同类型的紫外线辐射对抗生素耐药菌株的影响,以提供有助于制定合理紫外线照射医疗方案的信息。发现耐甲氧西林金黄色葡萄球菌对杀菌性(紫外线C)和日光性(紫外线A和B)紫外线辐射均敏感(紫外线C的致死性更强)。对于这两种类型的紫外线辐射,随着氯化钠培养基浓度的增加,耐甲氧西林金黄色葡萄球菌细胞的敏感性增加。研究还表明,对于这两种类型的紫外线辐射,对数期和稳定期耐甲氧西林金黄色葡萄球菌细胞的杀灭曲线具有可比性。当紫外线C应用于对数期细胞时,观察到铜绿假单胞菌PAO-1存在光复活现象,但耐甲氧西林金黄色葡萄球菌没有。革兰氏阴性铜绿假单胞菌PAO-1对紫外线C辐射的敏感性比革兰氏阳性耐甲氧西林金黄色葡萄球菌高得多。实验表明,培养基成分对耐甲氧西林金黄色葡萄球菌的紫外线抗性有显著影响,并且该菌种缺乏光复活能力。这表明在临床环境中,与不考虑离子条件的治疗方案相比,可能以低得多的紫外线辐射剂量实现该细菌的根除。

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